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Organization

KTJ HOME CARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERIE M TATUM HOME MAKER SERVICES (OWNER)
(313) 412-2372
Entity
Organization

Contact information

Practice address
17249 SUNDERLAND RD, DETROIT, MI 48219-4203
(313) 412-2372
Mailing address
17249 SUNDERLAND RD, DETROIT, MI 48219-4203
(313) 412-2372

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
02/18/2021
Last updated
01/16/2025
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